PSM -MCQ

PSM

1. Caused by Mite A. epidemic typhusB. endemic typhusC. scrub typhusD. Q Fever

Explanation:-{Refer. Park 18/e, p 574; 19/e, p 622;20/e,p 672}

Agent

Epidemic Typhus Rickettsia

prowazekii

Louse borne

Endemic Typhus Rickettsia typhi Fleas borne

Scrub Typhus Rickettsia

tsutsugamushi

Mite Borne

Q Fever No Vector

Answer:- C. Scrub Typhus

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2. PHC population in tribal area A. 10000B. 20000C. 30000D. 40000

Explanation:-{Refer:- Park 18/e, p 693-695;19/e,p 734; 20/e, p 784}

Health Center Population In General

Population in Hilly Area

Subcentre 5000 3000

PHC 30,000 20,000

CHC 1,20000 80,000

Answer: B. 20,000

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3. Obesity defines above percentile?A. 80B. 85C. 90D. 95

Explanation:- {Refer:-http://www.cdc.gov/obesity/childhood/defining.html}

The definition of obesity in children involves BMIs greater than the

85th (commonly used to define overweight) or the 95th (commonly

used to define obesity) percentile, respectively, for age-matched

and sex-matched control subjects.

For children and adolescents (aged 2–19 years), the BMI value is plotted

on the CDC growth charts to determine the corresponding BMI-for-age

percentile.

Overweight is defined as a BMI at or above the 85th percentile and

lower than the 95th percentile.

Obesity is defined as a BMI at or above the 95th percentile for

children of the same age and sex.

Answer:- D. 95

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4. Hardness of WATER define as ppm or mg/L A. 75B. 100C. 125D. 150

Explanation:- {Refer:- http://www.fcwa.org/water/hardness.htm }

Water Hardness Scale

Grains Per GallonMilligrams Per Liter

(mg/L)or Parts Per Million (ppm)

Classification

less than 1.0 less than 17.1 Soft

1.0 - 3.5 17.1 – 60 Slightly Hard

3.5 - 7.0 60 – 120 Moderately Hard

7.0 - 10.5 120 – 180 Hard

over 10.5 over 180 Very Hard

Answer:- D. 150

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5. Essential component of RCH programme in India include all of the following except:-

A. Prevention and management of unwanted pregnancies B. Maternal care including antenatal delivery and postnatal

services C. Reduce the under fiver mortality to half D. Management of reproductive tract infections and sexually

transmitted infections

Explanation:-{Refer:- Park 18th/e, p343; 19th/e, p367}

RCH Programme

There are 4 essential Components:-

Family Planning (Prevention and management of unwanted

pregnancy)

CSSM (include maternal care including antenatal check up

delivery and postnatal service.

Client approach of health care.

Prevention or management of STD, RTI and AIDS.

Answer:- C. Reduce the under five mortality to half

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6. SENSITIVE FOR IODINE DEFICIENCY IN COMMUNITY-A. Prevalence of goiter among school children B. Urinary iodine levels among pregnant women C. Neonatal hypothyroidism D. Iodine level in soil

Explanation:- {Refer:- Park 18th/e, p451,467; 19th/e, p494}

Epidemiological assessment of iodine deficiency is necessary before initiating an iodization programme and for surveillance of goiter control programmes.

The Indicator’s are:-

Prevalence of cretinism Prevalence of goiter Prevalence of Neonatal Hypothyroidism Urinary iodine excretion Measurement of thyroid function

Note:- Neonatal Hypothyroidism is the sensitive indicator of environmental iodine deficiency.

Answer:- C. Neonatal Hypothyroidism

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7. Which of the following is correct for Case Fatality Rate:-

A.Total Noof death X 1000Total Noof Cases

B.Total Noof death X 1000

Total Population

C.Total Noof death X 1000MidYear population

D.Total Noof death X 100Total Noof Cases

Explanation:-{Refer:Park 18th/e, p50,52; 19th/e, p51,53}

Case Fatality Ratio Total Noof death X 100Total Noof Cases

Crude Death Rate Total Noof deathduring a year X1000MidYear Population

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Answer:-D. Total Noof death X 100Total Noof Cases

8. Functions of PHC are all except A. Family planning and referral services B. Referral services C. Specialist services D. Collection and reporting of vital statistics

Explanations: - {Refer:- Park 18/e, p696; 19/e, p 752; 20/e , p 804}

Functions of PHC

Education concerning health problems and their control

Collection and reporting of vital statistics

Family planning (including maternal and child health care)

Essential drugs

Referral services

Safe water supply and basic sanitation prevention used control

of locally endemic diseases.

Training of health guides, health worker, local disease health

assistants etc.

Immunization against vaccine preventable diseases

Nutrition and promoting proper food supply

Treatment of common diseases and injuries

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Answer: C. Specialist services

9. Primary Health Centre {PHC} is supposed to provide all except:- A. Treatment of common ailments B. Surgeries for acute emergency conditions C. Vaccination D. Health education

Explanations: - [Ref. Park 18/e, p696; 19/e, p 752; 20/e , p 804]

Functions of PHC

Education concerning health problems and their control

Collection and reporting of vital statistics

Family planning (including maternal and child health care)

Essential drugs

Referral services

Safe water supply and basic sanitation prevention used control of

locally endemic diseases.

Training of health guides, health worker, local disease health

assistants etc.

Immunization against vaccine preventable diseases

Nutrition and promoting proper food supply

Treatment of common diseases and injuries

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Answer: B. Surgeries for acute emergency conditions

10. Black color in triage is used for A. Minor illness B. Possible resuscitation C. Immediate resuscitation D. Dead and moribund patients

Explanation:- {Ref:- park 20/e, page 701}

Triage

Based on likelihood of their survival

Not Based on severity of their injuries

Four color code

Color

Red Immediate life saving

surgery

Yellow Possible life saving surgery

Green Minor illness

Black Dead or moribund patients

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Answer:- D. Dead and Moribund patients

11. In a normal distribution curve, the True statement is:- A. Mean = SD B. Median = SD C. Mean = 2 Median D. Mean = Mode

Explanation:- {Refer:- Park 18th/e, p647; 19th/e, p702}

Normal Distribution

Bell Shaped smooth curve

It is symmetrical

Variance = 1

Variance = (Standard Deviation)2

Standard Deviation = Area under curve

Mean = Mode = Median = 0

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Answer:- D. Mean = Mode

12. In nalgonda tecqnique for defluridation of water agent used is A. Soda +lime B. Lime + Soda C. Alum + LimeD. Lime + Alum

Explanation:- {Refer:- Park 18th/e, p451, 467; 19th/e, p512}

Fluoride content in drinking water ~ 0.5mg/l

Recommended level of fluoride in drinking water = 0.5 to 0.8 mg/l

Nalgonda technique is used for deflurination of water

It removes fluoride ion by chemical treatment.

This technique involve the addition of two chemical Lime and

Alum in sequence followed by flocullation sedimentation and

filtration.

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Answer:- D. Lime + Alum

13. R.O.M.E. defines by:- A. Bhore committee B. Kartar Singh CommitteeC. Shrivastava Committee D. Chadah Committee

Explanation:- {Refer:- ………………………….}

Committee Important Points Bhore committee Health Survey and

Development committee Prepare ‘Social

Physicians’Kartar Singh Committee Given MPW (Multi

Purpose Workers) Shrivastava Committee Medical education and

Support Manpower ROME (Reorientation Of

Medical Education) Scheme

Village health Guide Scheme

Development of Referral services complex.

Chadah Committee For Maintenance phase of National Malaria Eradication Programme (NMEP)

Answer:- C. Shrivastava Committee

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14. In a chi square test degree of freedom for a table 3x6 will be A. 8B. 10C. 12D. 18

Explanation:- {Refer:- park 20/e, p 755}

Chi-Square Test (Χ2 – Test)

It is a Non-parametric test of significance

It is used for Non-Normal distribution

It is used to test significance of association between 2 or

more Qualitative characteristics

Degree of Freedom – is the no. of observation in a dataset

that can freely vary once the parameters have been

estimated

DOF = (c-1) (r-1)

c=no. of columns

r= no. of rows

Table Degree Of Freedom

2X2 Table 1

3X3 Table 4

4X4 Table 9

3X6 Table (given in Q) 10

5X5 Table 16

Answer:- B. 10

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15. Incubation period of HIV is A. 5 years B. 6 years C. 8 years D. 10 years

Important Incubation Periods

Diseasae Incubation Period (IP)

Rubella (German

Measles)

14-21 days

Mumps 14-21 days

Chicken Pox 14-16 days

Small Pox 7-17 days

Measles 10-14 days

Diphtheria 2-6 days

Yellow Fever 2-6 days

Tetanus 6-10 days

Rabies 3-8 weeks

HIV/AIDS Months – 10 years

Answer:- D. 10 years

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16. Primordial level of prevention is:- A. Life style modification B. Vaccination C. Screening for disease D. Rehabilitation

Explanation:- {Refer:- park 20/e, p 39}

Level of Prevention Mode of Intervention

Primordial Level Prevention of the development

of risk factors

life style modification

Individual Education

Primary Level Prior to onset of disease

Health promotion

Specific protection

Secondary Level Disease is possible

Early diagnosis and

treatment

Tertiary Disease has developed

Disability Limitation

Rehabilitation

Answer:- A. Life Style modification

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17. All of the following are duties of female multipurpose worker except:-

A. Registration of an pregnant women in her area B. Distribution of conventional contraceptive C. Active surveillance for malaria D. Maintain birth and death registers

Explanation:- {Refer:- Park 18th/e, p697; 19th/e, p754-55}

A. Answer:- C. Active surveillance for malaria

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18. Rideal Walker coefficient or carbolic acid coefficient is used for:-

A. Expressing efficiency of carbolic acid B. Estimating the amount of carbolic acid required for disinfecting

faeces C. Estimating amount of pure cresol in a crude phenol sample D. Expressing efficacy of carbolic acid

Explanation:-{Refer:- Ananthnarayan 6th/e, p31}

Rideal Walker Coefficient (RWC):- A measure of the efficiency of a disinfectant compared with that of

phenol

Also known as Carbolic Acid Coefficient

Is used to represent germicidal power of a disinfectant

Standard used for comparison is Phenol, because of RWC=1 for

Phenol

Organism used for testing – S. typhi

Answer:- A. Expressing efficiency of carbolic acid

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19. Height of child become 100 cm at A. 2 years B. 3 years C. 4 years D. 5 years

Explanation:- {Refer:- nelson 18/e, p 72}

Age Of Child Growth of Height (In cm/mth)0-3 mth 3.53-6 mth 26-9 mth 1.5

9-12 mth 1.21-3 yr 1 cm/mth4-6yr 3 cm/ur

Answer:- 4 years

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20. sentinal survillance is done for? A. Missed cases B. Subclinical cases C. Index cases D. Prodromal infection cases

{Deepak PSM page 458, Q-123}

Explanation:- {Refer:- Park 19th/e, p37}

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21. BOARD DEVELOPMENT-THAT OPTION WITH 500000 FOR 500.[MY SUGGESTION]

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22. mothers milk deficient in all except :fats, proteins, vitamin C and D, vitamin k 

A. fatsB. proteinsC. vitamin CD. vitamin K

{……..Deepak PSM page199, Q-17} {arora’s peads page 27, Q=42} {Refer:- nelson 18/e, p 2079}

“Late” Haemorrrhagic disease of newborn is associated with Breast Fed Infants, is a consequence of vit K deficiency.

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23. Carbohydrate in mid day meal programme is :A. 100B. 125C. 150D. 175

Explanation:-{Refer:-Park’s 20/e, p575}

Mid-Day Meal Scheme Also known as – National programme of Nutrional Support to primary

education Launched on 15th Aug. 1995 Revised in 2004 Minimum 300 Cal energy

8-12gm protein

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